Jared Rex Wortham, DO - Medicare Pediatrics in Moses Lake, WA

Jared Rex Wortham, DO is a medicare enrolled "Pediatrics" physician in Moses Lake, Washington. His current practice location is 1550 S Pioneer Way, Moses Lake, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 793-9787.

Jared Rex Wortham is licensed to practice in Washington (license number OP61442055) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902241235.

Contact Information

Jared Rex Wortham, DO
1550 S Pioneer Way,
Moses Lake, WA 98837-4613
(509) 793-9787
(509) 764-3263



Physician's Profile

Full NameJared Rex Wortham
GenderMale
SpecialityPediatrics
Location1550 S Pioneer Way, Moses Lake, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902241235
  • Provider Enumeration Date: 04/30/2013
  • Last Update Date: 08/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759675341
  • Enrollment ID: I20160804000785

Medical Identifiers

Medical identifiers for Jared Rex Wortham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902241235NPI-NPPES
2253195MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics O-0924 (Idaho)Secondary
208000000XPediatrics OP61442055 (Washington)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jared Rex Wortham allows following entities to bill medicare on his behalf.
Entity NameBmh Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255539193
PECOS PAC ID: 8426149758
Enrollment ID: O20071018000897

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jared Rex Wortham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jared Rex Wortham, DO
660 S Coolidge St,
Moses Lake, WA 98837-1872

Ph: (509) 793-9715
Jared Rex Wortham, DO
1550 S Pioneer Way,
Moses Lake, WA 98837-4613

Ph: (509) 793-9787

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Pediatrics Doctors in Moses Lake, WA

Carolanne Lyons,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-663-8711    
Miss Carissa Lynn Armstrong, MBBS
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-663-8711    
Dr. Kriti Narwal, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1550 S Pioneer Way Ste 200, Moses Lake, WA 98837
Phone: 509-793-9787    Fax: 509-764-3263
Karl Christopher Kubo, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 615 S Division St, Moses Lake, WA 98837
Phone: 509-766-9450    Fax: 509-766-1954
Karen M Lindberg, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-663-8711    
Marta A Beaubien, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-765-0216    
Jill A Dudik Bross, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 615 S Division St, Moses Lake, WA 98837
Phone: 509-766-9450    Fax: 509-766-1954

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